Evidence map›Paper›PMID 40153143›Full record

ArticleHealth economics review2025

Relationship between economic recessions and health inequity: analysis of the gap in life expectancy at birth between Mexican States.

Juan Pablo Gutiérrez, Karina Mendoza, Armando Sánchez-Vargas, Stefano M Bertozzi

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Article in Health economics review, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
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1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

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Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

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4 · The record

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PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors.

Juan Pablo GutiérrezCenter for Policy, Population & Health Research, School of Medicine, National Autonomous University of Mexico, Mexico City, Mexico. jpgutierrez@unam.mx.
Karina MendozaCenter for Policy, Population & Health Research, School of Medicine, National Autonomous University of Mexico, Mexico City, Mexico.
Armando Sánchez-VargasInstitute for Economics Research, National Autonomous University of Mexico, Mexico City, Mexico.
Stefano M BertozziSchool of Public Health, University of California, Berkeley, USA.

Funding

Universidad Nacional Autónoma de México PThis work was supported by UNAM-PAPIIT IA208223
6 · The paper itself

Abstract

objectiveTo estimate the effect of economic recessions on health inequality, with a focus on identifying recessions that have a health component.

methodsThis retrospective observational study uses the interannual rate of change in gross domestic product (GDP) as an indicator of economic conditions, and life expectancy at birth among Mexican states as a measure of health inequality. We calculated the Gini coefficient of life expectancy for the period 1980 to 2021 and examined its relationship with identified recessions through graphical analysis and an interrupted time series model.

resultsThe disparity in life expectancy at birth between states decreased over the study period. However, the Gini coefficient of life expectancy showed an inverse relationship with the interannual rate of GDP change, indicating increased inequality during economic recessions, with the most pronounced effect observed during the COVID-19-associated recession in 2020.

conclusionEconomic recessions have detrimental effects on health, exacerbating pre-existing inequalities. It is crucial to implement protection mechanisms targeted at socially vulnerable populations to mitigate these effects and prevent the widening of health inequalities.

Identifiers

PMID40153143
PMCPMC11951656

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LicenceCC BY-NC-ND
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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.